Formula & Calculator
Pulse Pressure
The gap between your systolic and diastolic blood pressure numbers, a simple indicator of artery health.
Variables
| Symbol | Quantity | Unit |
|---|---|---|
| PP | Pulse pressure | mmHg |
| SBP | Systolic blood pressure | mmHg |
| DBP | Diastolic blood pressure | mmHg |
What it means
Pulse pressure (PP) is the difference between systolic and diastolic blood pressure. It reflects the force generated by the left ventricle and the compliance of the arterial tree. A widened PP (>60 mmHg) is associated with increased arterial stiffness, often seen in ageing, hypertension, and atherosclerosis. It is an independent predictor of cardiovascular events. It is used in hypertension management and in cardiovascular risk stratification. Understanding pulse pressure helps clinicians assess vascular health and guide treatment decisions.
Worked example
Pulse Pressure – Two Detailed Examples
Real‑World| Parameter | Value |
|---|---|
| SBP (mmHg) | 120 |
| DBP (mmHg) | 80 |
| Parameter | Value |
|---|---|
| SBP | 160 |
| DBP | 100 |
Common mistakes
- Pulse pressure: PP = SBP − DBP – the difference between systolic and diastolic pressures.
- Normal PP: About 40 mmHg – wider PP indicates arterial stiffness (e.g., in older adults).
- Units: Both in mmHg.
- Interpretation: A narrow PP (e.g., <25) may indicate low cardiac output or shock.
- Measurement: Use properly calibrated sphygmomanometer.
Applications
Pulse pressure (PP) is the difference between systolic and diastolic blood pressure, reflecting the stroke volume and arterial stiffness. It is a predictor of cardiovascular risk, especially in older adults. Clinicians use PP to assess vascular health, to guide hypertension treatment, and to monitor fluid status. A widened PP (e.g., >60 mmHg) may indicate aortic regurgitation or arterial stiffness, while narrow PP may suggest poor cardiac output. By calculating PP, healthcare providers can gain insights into cardiovascular function. This simple calculation is part of routine blood pressure assessment and can help in risk stratification.
- Assessment of cardiovascular risk and vascular stiffness
- Hypertension management and medication titration
- Fluid status and haemodynamic monitoring
- Cardiac output estimation in clinical settings
- Research on ageing and cardiovascular disease